Werner Idiaquez, Dietrich
Werner Idiaquez, Dietrich is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr Dept Of , Tampa FL 33612-9416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Werner Idiaquez, Dietrich can be contacted via phone (902) 789-0518.Contact Information
Primary practice address
12902 Usf Magnolia Dr Dept Of
Tampa FL 33612-9416
Phone: (902) 789-0518
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 152109 | Florida |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 152109 | Florida |
Profile Details
NPI number | 1578210779 |
---|---|
LBN Legal business name | Werner Idiaquez, Dietrich |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 7th, 2022 |
Last updated | Mar 7th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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